Billing code 92549: Dynamic posturographyMedicare rate & RVUs in Texas
Reports computerized balance testing that combines six sensory organization conditions with motor control and adaptation tests during vestibular evaluation.
Medicare pays $59.41–$64.38 for 92549 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 92549 covers
This computerized balance assessment evaluates how a patient maintains posture when visual, somatosensory, and support-surface cues are varied. The sensory organization test uses six conditions; the motor control test assesses responses to platform translations, and the adaptation test assesses responses to platform rotations. Audiologists and other vestibular clinicians typically perform the testing in an audiology or vestibular clinic, with a practitioner interpreting the results and preparing a report. It can help characterize balance impairment in patients with dizziness, unsteadiness, or suspected vestibular dysfunction.
Report 92549 for the combined testing, rather than for the six-condition sensory organization portion alone. Documentation should identify the testing performed and include findings and interpretation supporting the balance assessment. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and no component modifier represents the global service. The reported component should match the work and resources furnished by the billing entity.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 92549 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$59.41 to $64.38
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $64.38 | Unavailable |
| Beaumont | $59.41 | Unavailable |
| Brazoria | $62.24 | Unavailable |
| Dallas | $62.49 | Unavailable |
| Fort Worth | $62.16 | Unavailable |
| Galveston | $62.34 | Unavailable |
| Houston | $62.70 | Unavailable |
| Rest Of Texas | $60.69 | Unavailable |
How the 92549 rate is calculated
Each of 92549’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 92549
RVUs × geographic indexes × conversion factor
Work0.85
0.85 RVUs× 1.000 GPCI
Practice expense1.00
1.00 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.8700
Conversion factor
$33.4009
Medicare rate
$62.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92549
The CMS indicators that decide how 92549 is paid alongside other services.
CMS payment indicators · 92549
Dynamic posturography
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
92549 without 26 · national office
$62.46
Dynamic posturography
92549-26 · Professional component
$43.09
Pays only the interpretation and report.
92549 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92548Posturography
- 92548 covers the six-condition sensory organization test. Choose 92549 when motor control and adaptation testing are also performed.
- 92540Vestibular evaluation
- 92540 is a basic vestibular evaluation, not computerized postural testing on a dynamic platform. The services assess different aspects of vestibular function.
- 92546Rotational test
- 92546 assesses vestibular responses during rotational testing. 92549 assesses postural control across sensory conditions and includes motor control and adaptation testing.
92549 billing questions
When should 92549 be chosen instead of 92548?
Use 92549 when the six-condition sensory organization testing is performed with both motor control and adaptation testing. Use 92548 when the service includes the six-condition sensory organization test without those additional tests.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service.
What documentation supports reporting 92549?
Document the sensory organization, motor control, and adaptation testing performed, along with the results and interpretation. The record should support that the reported service included all three components.
Is 92549 reported per test condition or per component?
The code represents the combined service, including the six sensory organization conditions and the motor control and adaptation tests. Do not treat each condition or included test as a separate unit of 92549.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 92549 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →